There are 3 discussion boards on feeding and eating Scenario – 20210626d

There are 3 discussion boards. Please respond to each scenario .Scenario #1 Killian is a 3-year-old girl with Down syndrome. Killian has decreased facial and oral
muscle tone. She is referred to as a “picky eater” who only eats round noodles in sauce,
chips, cookies, and pudding. All foods must be served at room temperature. Killian’s
mother packs her lunch for her every day with these same four foods, When offered
other foods, Killian refuses to eat and often throws her food. Killian packs large amounts
of food into her mouth if allowed and sucks her food rather than chews it. Killian feeds
herself by spoon and puts the food straight into her mouth. She gets upset when her face
is washed with a wet washcloth after she eats and she refuses to brush her own teeth. There are two parts to this question: FIRST: identify the ability level AND type of assistance needed for Killian according to your reading from the Eating and Drinking Ability Classification System. Justify your choice with evidence from the scenario. Example: requires someone to bring food/drinks to her mouth (totally dependent TD) and can only eat pureed foods (level 4). SECOND: There are numerous variables related to positioning, oral sensitivity, and oral-motor competency that are relevant to this scenario. Select one variable that should be considered for Killian and discuss it. Scenario #2 Jody is a 3-year-old girl with a diagnosis of failure to thrive. Jody typically eats a good variety of foods and can grab them independently to feed herself. However, she consumes only a small amount of food during each meal and becomes fatigued very quickly. Within an hour she requests more food. Jody’s oral-motor skills are good with the exception of her tendency to munch with her mouth open. She often loses food from the mouth and typically makes grunting sounds while chewing and swallowing. Her swallow is generally followed by a large intake of air as if she is out of breath. (Adapted from Murphy and Caretto, 1998.)

This discussion question has two parts. FIRST: identify the ability level AND type of assistance needed for Jody according to your reading from the Eating and Drinking Ability Classification System. Justify your choice with evidence from the scenario. Example: requires someone to bring food/drinks to her mouth (totally dependent TD) and can only eat pureed foods (level 4). SECOND: There are numerous variables related to position, oral-motor competency, and nutrition that are relevant to this scenario. Select one variable that should be considered and discuss it. Scenario #3 Susie is a 12-year-old girl with cerebral palsy and a severe tongue thrust. Susie must rely on an anterior/posterior pattern of movement of tongue in an attempt to control food and liquid within her mouth (i.e., no tongue lateralization). In addition, she has poor lip closure, poor cheek movement, and poor jaw control. Susie is typically fed while she is seated in her travel chair; however, her feet are not resting on a surface, her hips are forward, her shoulders are elevated, her hands are clenched in fists, and her head and neck are hyperextended. She eats foods that dissolve easily with saliva, and much of her food and liquid is lost as a result of the tongue thrust. She gags easily on new foods and food that must be chewed. Susie must be fed by others. (Adapted from Murphy and Caretto, 1998.) This discussion question has two parts. FIRST: identify the ability level AND type of assistance needed for Susie according to your reading from the Eating and Drinking Ability Classification System. Justify your choice with evidence from the scenario. Example: requires someone to bring food/drinks to her mouth (totally dependent TD) and can only eat pureed foods (level 4). SECOND: There are numerous variables related to Susie’s position, oral tactile defensiveness, oral-motor competency, and introducing new foods / drinks that are relevant to this scenario. Select one variable that should be considered for Susie and discuss (909) PostCare Recovery: Female Vaginal Self Catheterization – YouTube